Florida CV Alliance LLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

FLORIDA CV ALLIANCE LLC

Practice address

14100 Fivay Rd Ste 130
Hudson, FL 34667-7159

Phone

(727) 255-0920

Fax

(727) 255-5560

NPI assigned

Apr 6, 2021

Last updated

Apr 6, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vinod Raxwal, MDNPI 1659386449

Title

Owner

Phone

(727) 255-0920

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vinod K Raxwal, MD

  • Interventional Cardiology Physician
  • Hudson, FL
  • NPI 1659386449
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1376122556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD STE 130",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677159",
            "telephone_number": "727-255-0920",
            "fax_number": "727-255-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD STE 130",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677159",
            "telephone_number": "727-255-0920",
            "fax_number": "727-255-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CV ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "RAXWAL",
        "authorized_official_first_name": "VINOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-255-0920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000278100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Interventional Cardiology Physician in Hudson, FL
• Providers in Hudson, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.